Provider Demographics
NPI:1215182191
Name:LINDA YEATTS, M.D., P.A.
Entity Type:Organization
Organization Name:LINDA YEATTS, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:ELGERT
Authorized Official - Last Name:YEATTS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:940-566-3700
Mailing Address - Street 1:2701 W OAK ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-2328
Mailing Address - Country:US
Mailing Address - Phone:940-566-3700
Mailing Address - Fax:940-566-3774
Practice Address - Street 1:2701 W OAK ST
Practice Address - Street 2:SUITE 101
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-2328
Practice Address - Country:US
Practice Address - Phone:940-566-3700
Practice Address - Fax:940-566-3774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-19
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH5101207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB67630Medicare UPIN